Bawik, Natividad V.

HRN: 25-30-99  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/20/2024
CEFTRIAXONE 1G (VIAL)
06/20/2024
06/27/2024
IV
2g
OD
CAP
Waiting Final Action 
06/20/2024
AZITHROMYCIN 500MG TABLET (TAB)
06/20/2024
06/24/2024
PO
500
Od
CAP
Waiting Final Action 
06/21/2024
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
06/21/2024
06/21/2024
IV INFUSION
4.5gms
LD
CAP HR
Waiting Final Action 
06/21/2024
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
06/21/2024
06/28/2024
IV INFUSION
2 25gm
Q8H
CAP HR
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: